Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shane Andrew Tipton, PA-C

Individual provider Medical Oncology Physician · NPI 1962482877

Shane Andrew Tipton, PA-C is a Physician Assistant in Stanford, California. Graduated from University of California, Davis School of Medicine in 2004, 22 years ago. Practices with Sonora Community Hospital, a 136-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
22
Trained at
University of California, Davis School of Medicine
Licensed in
CA
In the registry since
2006
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

300 Pasteur Dr
Stanford, CA 94305-2200
Phone: (650) 723-4000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1000 Greenley Rd, Sonora, CA 95370-5200 — (209) 536-5000

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 17521 (CA)
Medical Oncology Physician Taxonomy 207RX0202X · Licence PA17521 (CA)
Emergency Clinical Nurse Specialist Taxonomy 364SE0003X · Licence PA17521 (CA)

Record details

NPI number1962482877
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 18, 2006
Last updated in NPPESFebruary 7, 2025
Certification dateFebruary 7, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUNIVERSITY OF CALIFORNIA, DAVIS SCHOOL OF MEDICINE
Graduated 2004 (22 years in practice)
Group practice Sonora Community Hospital — 136 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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